WHAT YOU SHOULD KNOW
A perirectal (pair-ee-REK-tuhl) abscess (AB-sess) is a pocket of pus in the tissues around the rectum, the last part of the bowel that ends at the anus.

Causes
Bacteria invade the tissue around the rectum through a cut or tear.
Signs/Symptoms
The primary symptom is a lump that is tender, firm, or moves about when you push on it. You may also have pain and a fever. If you can see the abscess on the skin, it will probably look red and swollen.
Care

You will probably need surgery to open the abscess and drain the pus. You may need to take antibiotics or other medicines. You'll also need to take a stool softener to make bowel movements easier.

Do's/Don'ts
To keep from getting more tears in your rectum that could lead to another abscess, try to keep your stool soft by eating foods that are high in fiber. Do not use enemas, and avoid anal sex.

Risks
Without treatment, the abscess can develop into a tear or hole where stool can get caught. The infection can spread to other parts of your body and cause severe illness. At the very least, if the cause of the abscess is not found and fixed, it can keep coming back

Both perirectal and perianal abscesses should be diagnosed and treated by a doctor. Do not delay seeing a doctor if you suspect you have a perirectal or a perianal abscess.

* A warm bath may help your symptoms.

* Nonprescription pain medicine, such as Tylenol, may help control the pain and fever.

* If the abscess opens by itself, there will be a release of pus and, possibly, some relief of pain and fever.

* Even if the symptoms improve with home care, you should seek medical attention. Abscesses need to be evaluated and treated by a doctor. They rarely go away on their own. Many people need further special treatment to avoid complications or a return of the abscess.

Medical Treatment

Depending upon the severity of the abscess and any other medical problems, treatment may be accomplished on an outpatient or inpatient basis. The treatment plan should be explained to you in detail.

* Minor surgery may be performed in the doctor's office or in the emergency department using local anesthesia (an injection in the infected area) and, possibly, IV sedation. You should be able to go home when you are awake and will be given prescription pain medicine for the first few days.

* Alternatively, the surgery may be done in the operating room by a surgeon using spinal anesthesia (you are awake and numb from the waist down) or general anesthesia (you are "asleep"). Your hospital stay may be overnight or several days.

* Admission to the hospital may be required with an IV line for fluids, antibiotics, and pain medicine.

* You may need an update of your tetanus booster, if this has not been done in the past 5-10 years.

* Blood and other tests may need to be repeated to evaluate your progress after treatment.

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John 11:11, 14-44: “ ‘Lazarus our friend has gone to rest, but I am journeying there to awaken him from sleep.’.....